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Survey about car accidents, therapists, daniel boone, dandelion root, smoking and money.

Begin Survey

1. Will you buy a lottery ticket this week? Yes No

2. Will you rent a DVD or video this weekend? Yes No

3. Will you go to a bar or night club this week? Yes No

4. Do you drink diet soda? Yes No

5. Do you think you are physically attractive? Yes No

6. Will you consume any alcoholic beverages this weekend? Yes No

7. Have you ever responded to a personals ad? Yes No

8. Have you ever borrowed money from a relative? Yes No

9. Do you get between 7 to 10 hours of sleep each night? Yes No

10. Will you see a play this month? Yes No

11. Will you visit a therapist or psychiatrist this week? Yes No

12. Do you smoke cigarettes? Yes No

13. Have you ever been in a car accident? Yes No

14. Would you like a free video or CD-ROM with more information on owning or renting an RV? Yes No

Your Firstname:

Your Emailaddress:

Yes, I would like to join the Daily Life Survey!

Fun and Interesting facts: - Daniel Boone hated coonskin caps. - Dandelion root can be roasted and ground as a coffee substitute. - A yawn usually lasts for approximately six seconds. - Built in 1967, the world’s only flying saucer launching pad is in St. Paul, Alberta, Canada.

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